Understanding Music Therapy & Dementia

In such a divided world, music seems to be at least one thing most people enjoy. Maybe we disagree in the types of music we like, but I have yet to meet a person who could not at least relate to some form of music. Music is comforting, individualized, emotional, and extremely necessary when it comes to dementia care.

Music, typically, is one of the last things a person can find comfort in during end-of-life care. We’ve all heard that there are two sides of the brain, the creative side and the logical side. It’s true when they say that music uses both sides of the brain, because it includes logical side through math (think of the complicated beats and rhythms you hear), and the creative side (through improvisation, instrument play, and songwriting). Imagine how good it is for the neurons in the brain to connect in this way when they have begun to deteriorate through dementia.

There are a few key elements to understanding evidence-based music therapy in general. First is the therapy side of things. In any therapy session, there is a goal. Music therapy is no different.

Understanding goals and interventions is a key element in music therapy, distinguishing it from any other music group. Throughout a session, I am always thinking about the goal. Music can be manipulated in a therapeutic way to encompass a variety of different goals; cognitive, physical, socio-emotional, communicative, educational, behavioral, and expressive needs. While there are many different goals to focus on, overall well-being and quality of life is, in my opinion, the most important when it comes to dementia.

Yes, having goals are vitally important, but we cannot expect clients to ‘get better’ or ‘heal’ through music. Dementia is always progressive. However, we can prolong their quality of life through music, and possibly prevent the rate of progression through music therapy.

I can go on and on about music therapy and how fascinating it is, but for now maybe you could think of ways to use music in your profession in long-term facilities. It can be as simple as conversing about music preferences. Maybe have music on in the background while you are working in dementia care. Maybe sing a song with them while they may be experiencing something unpleasant, but necessary. Most people know “You are my Sunshine”. Try something new, and don’t be afraid to act silly! The results may surprise you.

I’m sure you’ve heard it all before, but it’s so true -

“Where words fail, music speaks”

Kiersten Weyer, MT-BC